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NPI Code Detail

MEDICARE: ST. ANNE HOME

MEDICARE: ST. ANNE HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility190202PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20217OTHERPAHIGHMARK PROVIDER NUMBER

General Provider Information

NPI Number : 1578566725
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. ANNE HOME
Provider Business Mailing Address
First Line : 685 ANGELA DR
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-2655
Country : US
Telephone Number : 724-837-6070
Fax Number : 724-837-6099
Provider Business Practice Location Address
First Line : 685 ANGELA DR
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-2655
Country : US
Telephone Number : 724-837-6070
Fax Number : 724-837-6099
Authorized Official
Title or Position : ADMINISTRATOR
Name : SR. BERNICE MARIE FIEDOR
Credential : NHA
Telephone Number : 724-837-6070
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/31/2008

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Directions to “ST. ANNE HOME ” Practice Location

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